<!DOCTYPE html>
<!-- saved from url=(0014)about:internet -->

<html>
<head>
<title>WorkerTrack - Registration Form</title>
<link rel="stylesheet" type="text/css" href="../CSS/style.css" media="all" />
<link rel="stylesheet" type="text/css" href="../CSS/regemployer.css" media="all" />
<link rel="stylesheet" type="text/css" href="../CSS/buttonIE.css" media="all" />

<script type="text/javascript" src="../JavaScript/regemployer.js"></script>
</head>
<body>  
	<div id="header">
			<div id="logo">
				<a href="index.html"><img src="../images/logo.jpg" alt="" /></a>		
			</div>		
			<ul>
				<li><a href="index.html"><span>home</span></a></li>
				<li class="selected"><a href="regemployer.html"><span>Registration</span></a></li>
			</ul>
	</div>
	<div id="body">
	  <div id="pic">	</div> 
	  <div class="register">
			<h1>Registration</h1>
			<div id="content">
		<form name="myForm" onsubmit="return validateForm();" method="post">
        <fieldset>
          <legend>
            <h2>Company Details</h2>
          </legend>
          <ol>
            <li>
              <label id="companyname">
                Company Name:
              </label>
              <input id="cname" name="cname" class="text" type="text" onChange="val_cname();"/>
            </li>
            <div id="companynameerror">
            Company Name Error
			</div>
            <li>
              <label for="company field">
               Company Field:
              </label>
              <input id="cfield" name="cfield" class="text" type="text" onchange="val_cfield();"/>
            </li>
            <div id="companyfielderror">
            Company Field Error
			</div>
              
            <li>
              <label for="email">
                Email address:
              </label>
              <input id="email" name="email" class="text" type="text" onchange="val_email();" />
            </li>
            <div id="emailerror">
              Email Error
			</div>
			<li>
				<label for="city"> 
				City: 
				</label> 
				<input id="city" name="city" class="text" type="text" onchange="val_city();"/>
			</li>
			<div id="cityerror">
              City Error
			</div>
			<li>
				<label> 
				Zip Code: 
				</label> 
				<input id="zip" name="zip" class="text" type="text" onchange="val_zipcode();"/>
			</li>
			<div id="zipcodeerror">
              Zip Code Error
			</div>
			<li>
				<label> 
				Full St. Address: 
				</label> 
				<input id="address" name="address" class="text"type="text" onchange="val_add();"/>
			</li>
			<div id="addresserror">
              Address Error
			</div>
            <li>
              <label for="phone">
                Cellphone Number:
              </label>
              <input id="cell" name="cell" class="text" type="text" />
            </li>
            <div id="cellerror">
              Cell Phone Error
			</div>
			<li>
            	<label for="payment type"> 
            	Payment Method: 
            	</label> 
            	<select name="payment">
				<option value="weekly">Weekly</option>
				<option value="monthly">Monthly</option>
				<option value="yearly">Yearly</option>
				</select>
			</li>
			
			<div id="usernameerror">
              Username already exists in our DB
			</div>
			<div id="passworderror">
              Password Error
			</div>
          </ol>
        </fieldset>
     
        <fieldset>
          <legend>
            <h2>Login Details</h2>
          </legend>
          <ol>
          	<li>
          		<label for="username">
          		Username:
          		</label>
          		<input id="uname" name="uname" class="text" type="text" onchange="CheckAvailable();"/>
          	</li>
          	
            <li>
              <label for="password">
                Password:
              </label>
              <input id="pass" name="pass" class="password" type="password"/>
            </li>
            
            <li>
              <label for="confirmPassword">
                Confirm Password:
              </label>
              <input id="passconfirm" name="passconfirm" class="password" type="password" />
            </li>
          </ol>
        </fieldset>
        <fieldset class="submit">
          <input type="submit" value="Register" class="button" name="button"/>
        </fieldset>
      </form>

    </div><!-- END #content -->

   </div>
  </div>

 <!-- END #page -->
	</body>
</html>